Hospital Costs > In West Virginia > Fairmont Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Mcc | 66 | 218 / 9 | $26.089,90 | 833 / 20 | $9.678,83 | 1202 / 20 | $8.587,24 | 1199 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 62 | 140 / 10 | $20.081,80 | 717 / 19 | $7.375,84 | 1147 / 14 | $6.391,81 | 1142 / 20 |
| Heart Failure & Shock W Cc | 49 | 229 / 11 | $19.384,40 | 1104 / 24 | $6.372,88 | 947 / 15 | $5.255,55 | 946 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 45 | 471 / 20 | $31.682,70 | 867 / 21 | $12.198,30 | 1481 / 21 | $10.989,60 | 1452 / 21 |
| Chronic Obstructive Pulmonary Disease W Cc | 40 | 139 / 14 | $16.433,10 | 652 / 18 | $6.172,50 | 1257 / 17 | $5.235,58 | 1252 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 32 | 201 / 18 | $12.013,90 | 516 / 16 | $4.911,03 | 643 / 13 | $3.719,91 | 639 / 11 |
| G.I. Hemorrhage W Cc | 29 | 189 / 15 | $20.434,50 | 783 / 21 | $6.395,90 | 876 / 15 | $5.249,83 | 874 / 17 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 15 | $25.019,80 | 733 / 17 | $7.730,32 | 1082 / 12 | $7.068,25 | 1080 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 17 | $26.313,10 | 789 / 19 | $9.515,44 | 1285 / 20 | $8.291,52 | 1285 / 23 |
| Renal Failure W Cc | 26 | 195 / 18 | $17.692,50 | 751 / 21 | $6.189,50 | 892 / 12 | $5.079,58 | 884 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 19 | $14.064,40 | 629 / 21 | $4.700,46 | 529 / 9 | $3.431,00 | 527 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 25 | 100 / 9 | $24.306,60 | 273 / 7 | $10.783,20 | 694 / 12 | $9.417,48 | 693 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 20 | $17.733,90 | 883 / 21 | $6.259,83 | 1232 / 16 | $5.252,08 | 1228 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 21 | 89 / 12 | $15.007,30 | 855 / 16 | $4.318,05 | 742 / 9 | $3.504,71 | 738 / 12 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 16 | $11.785,60 | 424 / 14 | $4.574,79 | 666 / 9 | $3.456,26 | 664 / 8 |
| Cellulitis W/O Mcc | 17 | 172 / 21 | $11.232,20 | 383 / 15 | $5.400,94 | 951 / 12 | $4.239,06 | 945 / 16 |
| Respiratory Infections & Inflammations W Cc | 16 | 72 / 8 | $21.415,90 | 320 / 9 | $8.886,94 | 815 / 10 | $8.032,81 | 810 / 14 |
| Respiratory Infections & Inflammations W Mcc | 16 | 120 / 13 | $32.403,60 | 481 / 10 | $12.802,80 | 744 / 12 | $11.017,00 | 736 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 19 | $15.537,70 | 397 / 10 | $6.530,67 | 673 / 8 | $5.370,73 | 671 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 7 | $17.374,70 | 212 / 6 | $4.787,33 | 314 / 5 | $3.816,67 | 311 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 14 | $32.582,20 | 162 / 10 | $14.291,00 | 806 / 14 | $13.337,70 | 798 / 17 |
| Major Small & Large Bowel Procedures W Cc | 13 | 95 / 9 | $31.321,40 | 64 / 1 | $15.735,60 | 757 / 6 | $14.577,50 | 749 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 20 | $14.266,60 | 868 / 20 | $4.513,00 | 708 / 12 | $3.456,85 | 706 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 18 | $12.540,40 | 462 / 14 | $4.525,33 | 452 / 10 | $3.195,50 | 450 / 8 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 17 | $16.429,80 | 577 / 19 | $5.143,00 | 501 / 11 | $3.983,00 | 500 / 11 |
| Renal Failure W Mcc | 12 | 183 / 17 | $22.433,50 | 340 / 9 | $9.647,92 | 977 / 10 | $8.881,08 | 977 / 13 |
| G.I. Obstruction W Cc | 11 | 81 / 13 | $14.842,00 | 278 / 9 | $5.663,64 | 636 / 8 | $4.618,73 | 635 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 14 | $26.808,90 | 781 / 16 | $7.985,09 | 845 / 12 | $6.879,00 | 842 / 13 | Total 28 procedures | 695 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.